Q14-1-A [] | Section: Health YA18 |
***********************SECTION 14 HEALTH******************************************
Now I would like to ask you some questions about your general
state of health.
Q14-1 [Y08968.00] | Section: Health YA18 |
([flag indicating whether R sworn into active military since date of last interview(1)]=1) or ([R's work status last week]=1) or ([flag indicating if R reported any job/business last week]=1)
COMMENT: if active or employed last week
| 1 CONDITION APPLIES ...(Go To Q14-1A) |
| 0 CONDITION DOES NOT APPLY |
Q14-1A [Y08969.00] | Section: Health YA18 |
Are you limited in the kind of work you do on a job for pay because of your health?
Q14-1B [Y08970.00] | Section: Health YA18 |
Would you be limited in the kind or amount of work you could do on a job for pay because of your health?
Q14-2A [Y08971.00] | Section: Health YA18 |
Do you have any physical, emotional, or mental conditions that limit your ability to attend school regularly or do regular school work?
Q14-5A [Y08972.00] | Section: Health YA18 |
Do you have any physical, emotional, or mental conditions that require frequent medical attention, regular use of medication, or the use of special equipment such as a brace, crutches, a wheelchair, special shoes, an air filter, a catheter and so on?
Q14-6B [Y08973.00] | Section: Health YA18 |
([gender of the R]=1)
| 1 CONDITION APPLIES ...(Go To Q14-8A) |
| 0 CONDITION DOES NOT APPLY |
Q14-6C [Y08974.00] | Section: Health YA18 |
([flag indicating if R is pregnant]=1)
COMMENT: check if YA is preg from sect 12
| 1 CONDITION APPLIES ...(Go To Q14-7) |
| 0 CONDITION DOES NOT APPLY |
Q14-7 [Y08975.00] | Section: Health YA18 |
Is your limitation entirely due to your current pregnancy?
Q14-8A [Y08976.10] | Section: Health YA18 |
What is/are your health condition(s) or limitation(s)?
(HAND CARD LL AND PROBE IF NECESSARY:) What is it called?
(INTERVIEWER: CONDITIONS ARE LISTED IN ALPHABETICAL ORDER. CHOICE NUMBER 34 IS 'OTHER (SPECIFY)'- MAKE SURE TO USE THIS CHOICE IF R'S APPROPRIATE CONDITION IS NOT ON LIST.)
(CODE ALL THAT APPLY.)
| 1 Allergic condition(s) NOT including asthma or hay fever |
2 Asthma |
3 Anemia |
| 4 Appendicitis |
5 Blood disorder or immune deficiency (other than anemia) |
6 Bronchitis |
| 7 Bunions,calluses, corns, foot problems |
8 Cancer, tumor |
9 Crippled, orthopedic handicap |
| 10 Diabetes |
11 Ear infections |
12 Epilepsy/seizures |
| 13 Gallstones |
14 Hay fever |
15 Hearing differculty or deafness |
| 16 Heart trouble |
17 Hemorrhoids or piles |
18 Hernia |
| 19 Hyperkinesis, hyperactivity |
20 Kidney stones |
21 Laryngitis |
| 22 Learning disability (i.e. dyslexia) |
23 Mental Retardation |
24 Migraine |
| 25 Minimal brain dysfunction, minimal cerebral dysfunction, Attention deficit disorder |
26 Nervous Disorder |
27 Phlebitis |
| 28 Respiratory disorder |
29 Sciatica |
30 Sinus |
| 31 Speech Impairment |
32 Ulcer |
33 Veneral Disease |
| 34 Other (Specify) |
Q14-8C [Y08977.00] | Section: Health YA18 |
([number of R's illnesses] >1)
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q14-10E) |
Q14-10B [] | Section: Health YA18 |
Which ONE of these health conditions would you say is the main cause of your limitation?
INTERVIEWER: IF R CHOSE ONLY ONE IN Q14-8b, SELECT IT AND CONTINUE
Q14-10D [Y08978.00] | Section: Health YA18 |
{SICKVALUE}
COMMENT: get code for illness from original dcode
| 1 Allergic condition(s) NOT including asthma or hay fever |
2 Asthma |
3 Anemia |
| 4 Appendicitis |
5 Blood disorder or immune deficiency (other than anemia) |
6 Bronchitis |
| 7 Bunions,calluses, corns, foot problems |
8 Cancer, tumor |
9 Crippled, orthopedic handicap |
| 10 Diabetes |
11 Ear infections |
12 Epilepsy/seizures |
| 13 Gallstones |
14 Hay fever |
15 Hearing differculty or deafness |
| 16 Heart trouble |
17 Hemorrhoids or piles |
18 Hernia |
| 19 Hyperkinesis, hyperactivity |
20 Kidney stones |
21 Laryngitis |
| 22 Learning disability (i.e. dyslexia) |
23 Mental Retardation |
24 Migraine |
| 25 Minimal brain dysfunction, minimal cerebral dysfunction, Attention deficit disorder |
26 Nervous Disorder |
27 Phlebitis |
| 28 Respiratory disorder |
29 Sciatica |
30 Sinus |
| 31 Speech Impairment |
32 Ulcer |
33 Veneral Disease |
| 34 Other (Specify) |
Q14-10E [Y08979.00] | Section: Health YA18 |
Since what month and year have you had this limitation, [illness name] (other than a pregnancy)?
| 1 SELECT TO ENTER DATE |
| 0 IF VOLUNTEERED: 'ALL MY LIFE' ...(Go To Q14-10G) |
Q14-10F [Y08980.00] | Section: Health YA18 |
(ENTER MONTH AND YEAR:)
Q14-10G [Y08981.00] | Section: Health YA18 |
How would you describe your present health? Is it...
| 1 Poor |
| 2 Fair |
| 3 Good |
| 4 Very Good |
| 5 Excellent |
Q14-11 [Y08982.00] | Section: Health YA18 |
During the past 12 months have you had any accidents or injuries that required medical attention?
Q14-11-LOOP-BEGIN [] | Section: Health YA18 |
Repeat([Accident LOOP1 counter])
COMMENT: start loop about accidents
Q14-11-AB [Y08983.00] | Section: Health YA18 |
([Accident LOOP1 counter])
COMMENT: check to see if this is the first loop through
If Answer = 1 Then Go To Q14-11A
Q14-11A [Y08988.00] | Section: Health YA18 |
How many such accidents or injuries requiring medical attention have you had in the past 12 months?
If Answer = 0 Then Go To Q14-11-LOOP-END
Q14-11B [Y08989.01] | Section: Health YA18 |
Thinking of your [label to differentiate between R's most recent accident and any pevious accidents()] accident or injury in what month and year did it occur?
Q14-11C_VERBATIM [] | Section: Health YA18 |
What was the cause of the [label to differentiate between R's most recent accident and any pevious accidents()] accident or injury?
(RECORD VERBATIM AND CODE ONLY ONE)
Q14-11C [Y08994.00] | Section: Health YA18 |
| 1 Motor vehicle accident as occupant |
2 Motor vehicle accident as pedestrian |
| 3 Cycling |
4 Fall unrelated to athletics or sports activity |
| 5 Fall/contact related to athletics/sports activity |
6 Fire or smoke |
| 7 Hot liquid |
8 Toy or item intended for child use |
| 9 Equipment or device not intended for a child |
10 Poisoning |
| 11 Smashed body part: car/door/window bruise/contusion |
12 Adult injured child accidently (pull/lift injury) |
| 13 Intentional violent injury |
14 "Rough housing,"/impact injury: wrestling, etc. |
| 16 Fighting: broke bone/nose, hit in face, shot, stabbed, etc. |
17 Struck by object from other person (intent unknown) |
| 18 Insect sting or bite |
19 Stepped on sharp object, i.e. glass/nails/metal |
| 20 Ran into stationary object (not in home environment) |
22 Ran into stationary object (home environment) |
| 21 Animal bite |
23 Cut by sharp object, i.e. knife/glass/tool |
| 24 Burn, i.e. from heater/cigarrette/oven/stove |
25 Jump/fall accident, i.e. off furniture/other object |
| 26 "Temper" injuries, i.e. fell, kicked furniture, etc. |
15 Other(Specify) |
Q14-11D [Y08999.01] | Section: Health YA18 |
What specific injury or conditions resulted from this accident or injury?
(CODE ALL THAT APPLY)
| 1 Broken or dislocated bones |
| 2 Sprain, strain or pulled muscle |
| 3 Wound: cuts, scrape, puncture |
| 4 Head injury, concussion |
| 5 Bruise, contusion or internal bleeding |
| 6 Burn, Scald |
| 7 Illness or effect from poisons, medicine (drugs), etc.. |
| 8 Other (SPECIFY) |
Q14-11E [Y09004.00] | Section: Health YA18 |
Where did the accident or injury happen?
| 1 At home (any, not necessarily respondent's) |
| 2 School (including grounds and athletic areas) |
| 3 Place of work |
| 4 Street or highway |
| 5 Public building or space (other than streets or schools) |
| 6 Place of recreation and sports except school |
| 7 Farm or agricultural area, except farm house |
| 8 Other (SPECIFY) |
Q14-11F [Y09009.00] | Section: Health YA18 |
([where accident or injury happened()]=3)
COMMENT: was 3 coded in question 11e
| 1 CONDITION APPLIES ...(Go To Q14-11G) |
| 0 CONDITION DOES NOT APPLY |
Q14-11G [Y09014.00] | Section: Health YA18 |
Was the accident or injury related to work or a job in any way?
(INTERVIEWER: WORK PLACE EQUIPMENT WAS CHOSEN CODE "YES" WITHOUT ASKING)
Q14-11H [Y09016.00] | Section: Health YA18 |
Was the accident or injury related to work or a job in any way?
Q14-11-LOOP-END [] | Section: Health YA18 |
UNTIL ([Accident LOOP1 counter], ([Accident LOOP1 counter]=[number of accidents R has had in the previous 12 months]) or ([number of accidents R has had in the previous 12 months]=0))
Q14-11-I [] | Section: Health YA18 |
SYMBOLEXIST ([date of last interview])
COMMENT: check if last interview date is present
If Answer = 1 Then Go To Q14-11-K
Q14-11-K [Y09021.00] | Section: Health YA18 |
([flag indicating whether R was interviewed as YA in 1996] = 1)
COMMENT: R interviewed in 1996?
| 1 CONDITION APPLIES ...(Go To Q14-12A) |
| 0 CONDITION DOES NOT APPLY |
Q14-12 [Y09022.00] | Section: Health YA18 |
Now we're going to talk about any time you may have been hospitalized since we last interviewed your mother on [date of last interview]. (This may include an injury that you have already mentioned.) Have you had any accidents or injuries that required hospitalization since [date of last interview]?
Q14-12A [Y09023.00] | Section: Health YA18 |
Now we're going to talk about any time you may have been hospitalized since we last interviewed your mother on [date of last interview]. (This may include an injury that you have already mentioned.) Have you had any accidents or injuries that required hospitalization since [date of last interview]?
Q14-12-A [Y09024.00] | Section: Health YA18 |
How many such accidents or injuries requiring hospitalization have you had since [date of last interview]?
ENTER NUMBER OF ACCIDENTS/INJURIES:
Q14-13 [Y09025.00] | Section: Health YA18 |
([gender of the R]=1)
COMMENT: Check to see if R is male; if so branch over menses
| 1 CONDITION APPLIES ...(Go To Q14-14D) |
| 0 CONDITION DOES NOT APPLY |
Q14-13B [Y09026.00] | Section: Health YA18 |
([whether R has had menses]=1)
COMMENT: Check to see if menses information has already been collected.
| 1 CONDITION APPLIES ...(Go To Q14-14D) |
| 0 CONDITION DOES NOT APPLY |
Q14-14A [Y09027.00] | Section: Health YA18 |
Have you ever had a menstrual period?
Q14-14B [Y09028.00] | Section: Health YA18 |
How old were you when you had your first menstrual period.
(ENTER AGE:)
Q14-14C [Y09029.00] | Section: Health YA18 |
In what month and year did you have your first period?
(ENTER MONTH AND YEAR:)
Q14-14D [Y09030.00] | Section: Health YA18 |
([living arrangement of R]=19) or ([living arrangement of R]=20) or ([flag indicating if R's mother lives in R's household]>0 and [flag indicating if R's father resides in R's household]>0) or ([flag indicating if R's mother lives in R's household]>0 and [flag indicating if R's father resides in R's household]=0)
COMMENT: IS R IN HH WITH BOTH PARENTS OR WITH MOTHER ONLY?
| 1 CONDITION APPLIES ...(Go To Q14-18) |
| 0 CONDITION DOES NOT APPLY |
Q14-15 [Y09031.00] | Section: Health YA18 |
In the past 12 months have you had any illnesses that required medical attention or treatment?
Q14-15A [Y09032.00] | Section: Health YA18 |
How many such illnesses have you had in the past 12 months?
(ENTER NUMBER OF ILLNESSES:)
Q14-16 [Y09033.00] | Section: Health YA18 |
When did you last see a doctor for treatment of an illness?
| 1 Less than 1 month ago |
| 2 1 - 3 months ago |
| 3 4 - 6 months ago |
| 4 7 - 11 months ago |
| 5 1 year - 23 month ago (less than 2 years) ago |
| 6 2 or more years ago |
| 7 Never |
Q14-17 [Y09034.00] | Section: Health YA18 |
When did you last see a doctor for a routine health check-up?
| 1 Less than 1 month ago |
| 2 1 - 3 months ago |
| 3 4 - 6 months ago |
| 4 7 - 11 months ago |
| 5 1 year - 23 month ago (less than 2 years) ago |
| 6 2 or more years ago |
| 7 Never |
Q14-18 [Y09035.00] | Section: Health YA18 |
With which hand do you write?
(INTERVIEWER: CODE ONLY ONE. IF R VOLUNTEERS "AMBIDEXTROUS" OR "EITHER" OR "BOTH", RECORD EXPLANATION IN COMMENT SCREEN.)
| 1 Left Hand |
| 2 Right Hand |
| 3 Either Hand |
Q14-18A [Y09036.00] | Section: Health YA18 |
As a child, were you ever forced to change the hand with which you write?
Q14-19A [Y09037.00] | Section: Health YA18 |
Please think about which hand you use for throwing a ball to hit a target.
(INTERVIEWER: READ ALL RESPONSES, CODE ONLY ONE.) Do you..............
| 1 ...use your right hand nearly all of the time? |
| 2 ...use your right hand more than half of the time? |
| 3 ...use your right and left hands about equally? |
| 4 ...use your left hand more than half of the time? |
| 5 ...use your left hand nearly all of the time? |
Q14-19B [Y09038.00] | Section: Health YA18 |
Please think about which hand you use for brushing your teeth.
(INTERVIEWER: READ ALL RESPONSES, CODE ONLY ONE.) Do you..............
| 1 ...use your right hand nearly all of the time? |
| 2 ...use your right hand more than half of the time? |
| 3 ...use your right and left hands about equally? |
| 4 ...use your left hand more than half of the time? |
| 5 ...use your left hand nearly all of the time? |
Q14-20 [Y09039.00] | Section: Health YA18 |
How tall are you?
(ENTER NUMBER OF FEET:)
(INTERVIEWER: ENTER NUMBER OF INCHES ON NEXT SCREEN)
Q14-20A [Y09040.00] | Section: Health YA18 |
(How tall are you?)
(ENTER NUMBER OF INCHES:)
Q14-21 [Y09041.00] | Section: Health YA18 |
How much do you weigh?
(ENTER NUMBER OF POUNDS)
Q14-21A [Y09042.00] | Section: Health YA18 |
([living arrangement of R]=19) or ([living arrangement of R]=20) or ([flag indicating if R's mother lives in R's household]>0 and [flag indicating if R's father resides in R's household]>0) or ([flag indicating if R's mother lives in R's household]>0 and [flag indicating if R's father resides in R's household]=0)
COMMENT: IS R IN HH WITH BOTH PARENTS OR WITH MOTHER ONLY?
| 1 CONDITION APPLIES ...(Go To Q15-0A) |
| 0 CONDITION DOES NOT APPLY |
Q14-22 [Y09043.00] | Section: Health YA18 |
Now we have a couple of questions about health care plans.
First, is your health care now covered by health insurance provided either by an employer or by an individual plan that pays part or all of a hospital or doctor's bill?
(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, HMO.
(THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.)
Q14-23 [Y09044.00] | Section: Health YA18 |
(HAND CARD MM) What is the source of your health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| 1 Respondent's Parent's policy |
| 2 Respondent/spouse/partner policy bought directly from insurance company |
| 3 Respondent's employer policy |
| 4 Spouse/partner employer policy |
| 5 Other (SPECIFY) |
Q14-24 [Y09045.00] | Section: Health YA18 |
There is a national program called Medicaid (or Medi-Cal/Medical Assistance/ Welfare/Medical Servies) that pays for health care for persons in need. Is your health care now covered by Medicaid or one of these public assistance health care programs?